Individual
MARIAH LOUISE GRISPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 WASHINGTON ST, WEYMOUTH, MA 02188-2932
(781) 626-5160
Mailing address
23 OAK ST, PLYMPTON, MA 02367-1304
(781) 635-0979
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F08190360
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0134435101
TUFTS HEALTH DIRECT
MA
Enumeration date
10/11/2019
Last updated
07/02/2021
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